Start
nshd_61_ts
STRICTLY CONFIDENTIAL
JANUARY 1961
TEACHER'S QUESTIONNAIRE*
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
Under the joint auspices of
Institute of Child Health (University of London); Society of Medical Officers of Health; Population Investigation Committee. National Foundation for Educational Research in England and Wales. The Scottish Council for Research in Education.

Ref. No.

Generic text

Name

Generic text

Address

Generic text

School

Generic text
FOR THOSE WHO HAVE MOVED

New Address

Generic text

L.E.A.

Generic text

New School

Generic text
If a child has moved to another school this form should be returned to the Director of Education and not sent directly to the new school.
EXPLANATORY NOTE
This child was enrolled at birth in a national survey of the health, growth and development of children. With the help of his parents and of health visitors, school nurses and teachers, a detailed account has been obtained of his health and development during the past 15 years. The survey children come from all types of home and are attending all types of school both independent and Local Authority. Only 10 per cent have been lost and the value of this inquiry depends on our continuing to obtain information for every possible survey child.
All information given will be regarded as strictly confidential and there is no possibility that the name of any child or school will appear in any report.
THIS FORM SHOULD BE FILLED IN BY THE TEACHER WHO KNOWS THIS CHILD BEST, AND IF NECESSARY, IN CONSULTATION WITH OTHER MEMBERS OF THE STAFF
HOW TO FILL IN THIS FORM
Please put a circle round the number opposite the answer which most nearly describes your views. If you feel that further comment is called for, please do not hesitate to give it.
I. THE CLASS

Please give the following details about this child's present class:- Number of children on the roll of the class? ... children

How many

Please give the following details about this child's present class:- Sex of children in the class?

1
Boys only
2
Girls only
3
Mixed

Please give the following details about this child's present class:- What is the average age of the children in this class? ... years ... months

Age
Months

Please give the following details about this child's present class:- How many children in the class are under 14 years of age? ... children

How many
Of the week's timetable of this Form how many periods are devoted to:-
periods
How many
Basic subjects (English and Maths)
General subjects (History, Geography)
Science (Chemistry, Physics, Biology)
Languages (French, Latin, Greek, German, etc.)
Creative subjects (e.g. P.E. art, music)
Practical subjects (e.g. crafts, domestic science, agriculture, commerce, technical)

Of the week's timetable of this Form how many periods are devoted to:- Other subjects (namely ... ) ... periods

Other
How many
II. SCHOOL ATTENDANCE

Has this child been punctual in attending school during the last year?

0
Never late unless with good reason
1
Sometimes late
2
Persistently late

Has this child played truant during the last year?

2
Yes, frequently
1
Yes, occasionally
0
Never
Please give the following details of this child's school attendance during the past year.
Attendances made by this child (1/2 days) Attendances that could have been made (1/2 days)
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
Spring term - 1960
Summer term - 1960
Winter term - 1960

Have you discussed this child's education with either of his/her parents during the past year?

1
Yes, both
2
Yes, mother only
3
Yes, father only
4
Neither

To what extent do this child's parents show interest in his/her progress at school?

1
Very interested
2
Average interest
3
Little or no interest
III. CHILD'S ATTITUDE TO SCHOOL WORK

Which statement in each group best describes this child?

1
A very hard worker
2
Average - works moderately well
3
A poor worker or lazy

Which statement in each group best describes this child?

1
One with high power of concentration
2
Average - concentrates moderately well
3
Little or no power of sustained concentration

Which statement in each group best describes this child?

1
Extremely neat and tidy in class work
2
Average - moderately neat and tidy
3
Very untidy in class work

Which statement in each group best describes this child?

1
Seldom or never disobedient
2
Sometimes disobedient
3
Frequently disobedient

Which statement in each group best describes this child?

1
Seldom or never difficult to discipline
2
Sometimes difficult to discipline
3
Frequently difficult to discipline

Which statement in each group best describes this child?

1
Seldom or never restless in class
2
Sometimes restless in class
3
Frequently restless in class

Which statement in each group best describes this child?

1
Seldom or never daydreams in class
2
Sometimes daydreams in class
3
Frequently daydreams in class

Which statement in each group best describes this child?

1
Seldom or never cribs
2
Sometimes cribs
3
Frequently cribs

Which statement in each group best describes this child?

1
Seldom or never evades the truth to keep out of trouble
2
Sometimes evades the truth to keep out of trouble
3
Frequently evades the truth to keep out of trouble

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Mathematics?

1
Yes
0
No

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- English?

2
Yes
0
No

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A foreign language?

3
Yes
0
No

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A science subject?

4
Yes
0
No

If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Other, namely

Other

Has this child the ability to benefit from attending a University or Technical College for whole-time study?

1
Yes, University
2
Yes, Technical College
0
Neither
IV. SCHOOL LEAVING

At what age will this child leave school? ... years

Age
0
End of this term
For those leaving school at 15
qc_10 == '15'

Has this child got a job to go to when he/she leaves school?

1
Yes
0
No
(For children with a job)
qc_11_a == 1

What job is it?

Generic text

Is this child's ability equal to this job or above or below it?

1
Equal to job
2
Above job
3
Below job
(For children with no job to go to)
qc_11_a == 0

What steps are being taken to find a job for this child?

Generic text

Has this child's career been discussed with him/her at school?

1
Yes
0
No
(If "yes")
qc_12_a == 1

Who discussed this child's career with him/her?

Generic text
V. BEHAVIOUR
(All Children)

Which statement in each group best describes this child?

1
Liable to get unduly rough during playtime
2
Takes a normal part in rough games
3
Rather frightened of rough games

Which statement in each group best describes this child?

1
Avoids attention, hates being in the limelight
2
Does not unduly avoid or seek attention
3
Shows off; seeks attention

Which statement in each group best describes this child?

1
A dare-devil
2
As cautious as the average child
3
Extremely fearful

Which statement in each group best describes this child?

1
Over-competitive with other children
2
Normally competitive
3
Diffident about competing with other children

Which statement in each group best describes this child?

1
Unusually happy and contented child
2
Generally cheerful and in good humour
3
Usually gloomy and sad

Which statement in each group best describes this child?

1
A quarrelsome and aggressive child
2
Average - not particularly quarrelsome
3
A timid child

Which statement in each group best describes this child?

1
Makes friends extremely easily
2
Takes usual amount of time to make friends
3
Does not seem able to make friends

Which statement in each group best describes this child?

1
Extremely energetic, never tired
2
Normally energetic
3
Always tired and "washed out"

Which statement in each group best describes this child?

1
Not at all anxious, apprehensive or fearful
2
Somewhat anxious, apprehensive or fearful
3
Very anxious, apprehensive or fearful

How does this child react to criticism or punishment?

1
Tends to become unduly resentful
2
Tends to become unduly miserable or worried
0
Normal attitude to criticism and punishment
Taking this child's behaviour and relationships with other children as a whole, would you say he/she is -
-

0 - Not at all

1 - Somewhat

2 - Very

Sensitive or highly strung
Shy or withdrawn
Agressive

Taking this child's behaviour and relationships with other children as a whole, would you say he/she is - Other, namely

Other
1
Somewhat
2
Very
VI. HABITS
Has this child frequently shown any of the following habits or mannerisms?
-

1 - Yes

0 - No

Nail biting
Nose picking
Thumb or finger sucking
Picking sores
Stammering
Nervous twitches or grimaces

Teacher's Name (Mr, Mrs, Miss)

Generic text

How well do you know this child?

1
Very well
2
Moderately well
3
Not very well

Date

Generic date
End

nshd_61_ts

STRICTLY CONFIDENTIAL
JANUARY 1961
TEACHER'S QUESTIONNAIRE*
NATIONAL SURVEY OF THE HEALTH AND DEVELOPMENT OF CHILDREN
Under the joint auspices of
Institute of Child Health (University of London); Society of Medical Officers of Health; Population Investigation Committee. National Foundation for Educational Research in England and Wales. The Scottish Council for Research in Education.
Ref. No.
Generic text
Name
Generic text
Address
Generic text
School
Generic text

FOR THOSE WHO HAVE MOVED

New Address
Generic text
L.E.A.
Generic text
New School
Generic text
If a child has moved to another school this form should be returned to the Director of Education and not sent directly to the new school.
EXPLANATORY NOTE
This child was enrolled at birth in a national survey of the health, growth and development of children. With the help of his parents and of health visitors, school nurses and teachers, a detailed account has been obtained of his health and development during the past 15 years. The survey children come from all types of home and are attending all types of school both independent and Local Authority. Only 10 per cent have been lost and the value of this inquiry depends on our continuing to obtain information for every possible survey child.
All information given will be regarded as strictly confidential and there is no possibility that the name of any child or school will appear in any report.
THIS FORM SHOULD BE FILLED IN BY THE TEACHER WHO KNOWS THIS CHILD BEST, AND IF NECESSARY, IN CONSULTATION WITH OTHER MEMBERS OF THE STAFF
HOW TO FILL IN THIS FORM
Please put a circle round the number opposite the answer which most nearly describes your views. If you feel that further comment is called for, please do not hesitate to give it.

I. THE CLASS

Please give the following details about this child's present class:- Number of children on the roll of the class? ... children
How many
Please give the following details about this child's present class:- Sex of children in the class?
1
Boys only
2
Girls only
3
Mixed
Please give the following details about this child's present class:- What is the average age of the children in this class? ... years ... months
Age
Months
Please give the following details about this child's present class:- How many children in the class are under 14 years of age? ... children
How many

Of the week's timetable of this Form how many periods are devoted to:-

periods
How many
Basic subjects (English and Maths)
General subjects (History, Geography)
Science (Chemistry, Physics, Biology)
Languages (French, Latin, Greek, German, etc.)
Creative subjects (e.g. P.E. art, music)
Practical subjects (e.g. crafts, domestic science, agriculture, commerce, technical)
Of the week's timetable of this Form how many periods are devoted to:- Other subjects (namely ... ) ... periods
Other
How many

II. SCHOOL ATTENDANCE

Has this child been punctual in attending school during the last year?
0
Never late unless with good reason
1
Sometimes late
2
Persistently late
Has this child played truant during the last year?
2
Yes, frequently
1
Yes, occasionally
0
Never

Please give the following details of this child's school attendance during the past year.

Attendances made by this child (1/2 days) Attendances that could have been made (1/2 days)
How manyHow manyHow manyHow many How manyHow manyHow manyHow many
Spring term - 1960
Summer term - 1960
Winter term - 1960
Have you discussed this child's education with either of his/her parents during the past year?
1
Yes, both
2
Yes, mother only
3
Yes, father only
4
Neither
To what extent do this child's parents show interest in his/her progress at school?
1
Very interested
2
Average interest
3
Little or no interest

III. CHILD'S ATTITUDE TO SCHOOL WORK

Which statement in each group best describes this child?
1
A very hard worker
2
Average - works moderately well
3
A poor worker or lazy
Which statement in each group best describes this child?
1
One with high power of concentration
2
Average - concentrates moderately well
3
Little or no power of sustained concentration
Which statement in each group best describes this child?
1
Extremely neat and tidy in class work
2
Average - moderately neat and tidy
3
Very untidy in class work
Which statement in each group best describes this child?
1
Seldom or never disobedient
2
Sometimes disobedient
3
Frequently disobedient
Which statement in each group best describes this child?
1
Seldom or never difficult to discipline
2
Sometimes difficult to discipline
3
Frequently difficult to discipline
Which statement in each group best describes this child?
1
Seldom or never restless in class
2
Sometimes restless in class
3
Frequently restless in class
Which statement in each group best describes this child?
1
Seldom or never daydreams in class
2
Sometimes daydreams in class
3
Frequently daydreams in class
Which statement in each group best describes this child?
1
Seldom or never cribs
2
Sometimes cribs
3
Frequently cribs
Which statement in each group best describes this child?
1
Seldom or never evades the truth to keep out of trouble
2
Sometimes evades the truth to keep out of trouble
3
Frequently evades the truth to keep out of trouble
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Mathematics?
1
Yes
0
No
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- English?
2
Yes
0
No
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A foreign language?
3
Yes
0
No
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- A science subject?
4
Yes
0
No
If this child remained at school would he/she be likely to pass the G.C.E. at "O" level (or the Scottish Leaving Certificate at lower level) in any of the following subjects:- Other, namely
Other
Has this child the ability to benefit from attending a University or Technical College for whole-time study?
1
Yes, University
2
Yes, Technical College
0
Neither

IV. SCHOOL LEAVING

At what age will this child leave school? ... years
Age
0
End of this term
Has this child got a job to go to when he/she leaves school?
1
Yes
0
No
What job is it?
Generic text
Is this child's ability equal to this job or above or below it?
1
Equal to job
2
Above job
3
Below job
What steps are being taken to find a job for this child?
Generic text
Has this child's career been discussed with him/her at school?
1
Yes
0
No
Who discussed this child's career with him/her?
Generic text

V. BEHAVIOUR

(All Children)
Which statement in each group best describes this child?
1
Liable to get unduly rough during playtime
2
Takes a normal part in rough games
3
Rather frightened of rough games
Which statement in each group best describes this child?
1
Avoids attention, hates being in the limelight
2
Does not unduly avoid or seek attention
3
Shows off; seeks attention
Which statement in each group best describes this child?
1
A dare-devil
2
As cautious as the average child
3
Extremely fearful
Which statement in each group best describes this child?
1
Over-competitive with other children
2
Normally competitive
3
Diffident about competing with other children
Which statement in each group best describes this child?
1
Unusually happy and contented child
2
Generally cheerful and in good humour
3
Usually gloomy and sad
Which statement in each group best describes this child?
1
A quarrelsome and aggressive child
2
Average - not particularly quarrelsome
3
A timid child
Which statement in each group best describes this child?
1
Makes friends extremely easily
2
Takes usual amount of time to make friends
3
Does not seem able to make friends
Which statement in each group best describes this child?
1
Extremely energetic, never tired
2
Normally energetic
3
Always tired and "washed out"
Which statement in each group best describes this child?
1
Not at all anxious, apprehensive or fearful
2
Somewhat anxious, apprehensive or fearful
3
Very anxious, apprehensive or fearful
How does this child react to criticism or punishment?
1
Tends to become unduly resentful
2
Tends to become unduly miserable or worried
0
Normal attitude to criticism and punishment

Taking this child's behaviour and relationships with other children as a whole, would you say he/she is -

-

0 - Not at all

1 - Somewhat

2 - Very

Sensitive or highly strung
Shy or withdrawn
Agressive
Taking this child's behaviour and relationships with other children as a whole, would you say he/she is - Other, namely
Other
1
Somewhat
2
Very

VI. HABITS

Has this child frequently shown any of the following habits or mannerisms?

-

1 - Yes

0 - No

Nail biting
Nose picking
Thumb or finger sucking
Picking sores
Stammering
Nervous twitches or grimaces
Teacher's Name (Mr, Mrs, Miss)
Generic text
How well do you know this child?
1
Very well
2
Moderately well
3
Not very well
Date
Generic date
Name

1961 Teacher's Questionnaire